National Provider Identifier
Jack C Wong, BSC
Jack C Wong, BSC is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 271-6736.
Source: public NPPES record, last updated October 30, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1558540203
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- October 30, 2007
- Last Updated
- October 30, 2007
Practice Location
- 626 Park Ave
- Rochester, NY 14607-2943
Phone: (585) 271-6736
Mailing Address
- 5 Peregrine Way
- Webster, NY 14580-8784
Specialties
- Pharmacist (183500000X)
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Full Record
- NPI
- 1558540203
- Entity Type
- Individual
- Last Name
- Wong
- First Name
- Jack
- Middle Name
- C
- Name Prefix
- Mr.
- Credential
- BSC
- Mailing Street Address
- 5 Peregrine Way
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-8784
- Mailing Country
- US
- Mailing Phone
- (585) 872-4805
- Mailing Fax
- (585) 271-0172
- Practice Street Address
- 626 Park Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-2943
- Practice Country
- US
- Practice Phone
- (585) 271-6736
- Practice Fax
- (585) 271-0172
- Enumeration Date
- October 30, 2007
- Last Updated
- October 30, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)